D & C Specialist

Jonathan Tam, MD

OB-GYN located in Pasadena, CA

Dilation and curettage can be an effective treatment for abnormal uterine bleeding and for prevention of uterine infection. At his Pasadena, California, practice, Dr. Tam uses the most advanced techniques for D&C procedures, using minimally-invasive approaches that help women resume their regular routines as quickly as possible.

D & C Q & A

What is a D&C?

D&C stands for dilation and curettage, a procedure that uses two techniques to access the uterus and scrape the lining. A D&C may be performed to:

  • Remove tissue after a miscarriage or abortion
  • Remove tissue left after childbirth
  • Treat abnormal bleeding caused by hormonal imbalances, polyps, fibroids or other issues
  • Diagnose the cause of abnormal bleeding by removing and evaluating tissue lining the uterus

How is a dilation and curettage procedure performed?

D&C procedures are performed under anesthesia. The patient will be positioned on her back on the surgical table and the vaginal canal is widened with a speculum. The cervix is washed and held in place with a special clamp. The cervix is dilated (opened) either with medication or by using a very slim, rod-shaped instrument or rod. Once the cervix has been dilated, an instrument called a curette will be used to scrape the lining and a suction device may be used to vacuum away any remaining tissue. Tissue samples will be sent to a lab for analysis. Most procedures take about 15 to 20 minutes. Sometimes, a hysteroscopy will also be performed, using a special instrument to view the interior of the uterus.

How will I feel afterward?

Once the D&C is complete, patients may experience cramping and bleeding or spotting for a few days. Sanitary napkins and pain medication can be used until these issues subside. Most women return to their regular activities within a day or two of their procedure. Sex and use of tampons may need to be avoided initially to enable the uterine lining to heal and to prevent infection. After a D&C, most women experience a shift in the timing of their menstrual cycle, with the next period occurring earlier or later than normal. Although most D&C procedures are uneventful, women should report any unusual signs like fever, vomiting, very heavy bleeding or unusual vaginal odor following the procedure. When a biopsy is performed, results are generally available within a couple of days.

Insurance Information

Sometimes these can be an HMO, please call our office to verify: Medi-Cal and Medicare. For the following, we accept PPO and HMO (medical group needs to be Allied Pacific or Healthcare Partners): Aetna, Cigna, Blue Cross, Blue Shield, HealthNet and United Healthcare.

Blue Cross
Blue Shield
United Healthcare